Contract
H0907

Wellpoint · 2027 Star Ratings

WELLPOINT IOWA, INC. · Local CCP · offers special needs plans

Parent: Elevance Health, Inc.

Summary ratings

Overall
3.5
2026: 3.0+0.5
Part C · health plan
3.5
2026: 2.5+1.0
Part D · drug plan
3.5
2026: 3.5±0

2027 footprint

Members, Sep 2026
3,705
2027 plans
1
Open to all ($0 premium)
0 (0)
Counties
99
Special needs plans
Dual-Eligible
Drug coverage
Yes
IA

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines2.02.0±0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan3.03.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.02.0+2.0
HD5Health Plan Customer ServiceNot enough data availableNot enough data available—
DD1Drug Plan Customer Service5.05.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance4.03.0+1.0
DD3Member Experience with the Drug PlanNot enough data available4.0—
DD4Drug Safety and Accuracy of Drug Pricing2.03.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening72%3.0+1
C02Colorectal Cancer Screening63%2.0new spec
C03Annual Flu Vaccine65%3.0+1
C04Improving or Maintaining Physical HealthNot enough data available—
C05Improving or Maintaining Mental HealthNot enough data available—
C06Monitoring Physical Activity43%1.0−1
C07Special Needs Plan (SNP) Care Management54%2.0−1
C08Care for Older Adults – Medication Review99%5.0+1
C09Care for Older Adults - Functional Status Assessment84%3.0—
C10Osteoporosis Management in Women who had a FractureNot enough data available—
C11Diabetes Care – Eye Exam63%2.0±0
C12Diabetes Care – Blood Sugar Controlled89%4.0+1
C13Kidney Health Evaluation for Patients with Diabetes58%2.0±0
C14Controlling High Blood Pressure84%4.0+1
C15Reducing the Risk of Falling64%3.0±0
C16Improving Bladder Control38%2.0±0
C17Plan All-Cause Readmissions11%3.0+1
C18Statin Therapy for Patients with Cardiovascular Disease89%4.0±0
C19Transitions of Care75%4.0+1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions65%3.0±0
C21Getting Needed Care813.0+1
C22Getting Appointments and Care Quickly844.0+1
C23Customer Service861.0±0
C24Rating of Health Care Quality852.0−1
C25Rating of Health Plan842.0±0
C26Care Coordination905.0+1
C27Complaints about the Health Plan0.155.0+1
C28Members Choosing to Leave the Plan21%3.0+1
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic5.0+4
C30Plan Makes Timely Decisions about AppealsNot enough data available—
C31Reviewing Appeals DecisionsNot enough data available—
C32Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0±0
D02Complaints about the Drug Plan0.155.0+1
D03Members Choosing to Leave the Plan21%3.0+1
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0±0
D05Rating of Drug Plan874.0+1
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications90%3.0±0
D09Medication Adherence for Hypertension (RAS antagonists)87%2.0±0
D10Medication Adherence for Cholesterol (Statins)90%4.0+1
D11Statin Use in Persons with Diabetes (SUPD)86%2.0−1
D12Concurrent Use of Opioids and Benzodiazepines (COB)23%1.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)16%1.0—

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